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PRIYANKA AGARWAL
NPI 1326466145
Internal Medicine - Endocrinology, Diabetes & Metabolism in Irving, TX

Active since March 29, 2014PECOS EnrolledAccepts Medicare Assignment
7429 LAS COLINAS BLVD STE 101, IRVING, TX 75063(469) 442-0202 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2020, Jan 24, 2020, Dec 26, 2016 (3 updates tracked since 2016).

About Priyanka Agarwal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIYANKA AGARWAL (NPI 1326466145) is an individual endocrinology, diabetes & metabolism provider in Irving, Texas, licensed in Texas (S2548) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1326466145
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePRIYANKA AGARWAL
Location Address7429 LAS COLINAS BLVD STE 101Irving, TX 75063-7573
Mailing Address7429 Las Colinas Blvd Ste 101Irving, TX 75063-7573
Phone(469) 442-0202
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 29, 2014
Last NPPES UpdateMay 18, 20203 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
✔ NPI 1326466145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · S2548
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
7429 LAS COLINAS BLVD STE 101, Irving, TX 75063
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priyanka Agarwal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133436512
PECOS Enrollment IDI20191209000919, I20240202000608
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Priyanka Agarwal reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Priyanka Agarwal MD PLLC
Same address
Endocrinology, Diabetes & Metabolism
7429 LAS COLINAS BLVD STE 101
Irving, TX 75063
  • Reassigned Medicare billing, Texas enrollment
NPI 1396370730 (469) 442-0202
Hemphill County Hospital District
285 mi
Critical Access
1020 S 4TH ST
Canadian, TX 79014
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
NPI 1578436671 (806) 323-6422
County Of Logan
479 mi
Family Medicine
1001 HIGHWAY 40 STE 4
Oakley, KS 67748
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1821087230 (Kansas)
  • 19 clinicians in this Medicare group
NPI 1902428840 (785) 672-1441
Great Plains Of Smith Co., Inc.
485 mi
Critical Access
921 E HIGHWAY 36
Smith Center, KS 66967
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1720025620 (Kansas)
  • 31 clinicians in this Medicare group
NPI 1700985116 (785) 282-6845
St. Vincent Hospital
548 mi
Neurology
440 SAINT MICHAELS DR, SUITE 250
Santa Fe, NM 87505
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1831493584 (505) 913-3056
Confermed Of California PC
1,209 mi
Internal Medicine
101 ACADEMY STE 100
Irvine, CA 92617
  • Reassigned Medicare billing, California enrollment
  • 118 clinicians in this Medicare group
NPI 1316584709 (860) 323-0172
Telehealth Specialty Medical Group
1,416 mi
Emergency Medicine
3400 DOUGLAS BLVD STE 225
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Telemedicine Group PC
  • 205 clinicians in this Medicare group
NPI 1326338237 (916) 740-3721

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers111 claims111 services$167.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIYANKA AGARWAL MD PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7429 LAS COLINAS BLVD STE 101
IRVING, TX 75063
Dallas County (469) 442-0202
DR. AMIT BAJAJ MD
Pediatrics
7429 LAS COLINAS BLVD STE 101
IRVING, TX 75063
Dallas County (469) 442-0202
TEXAS PRIMARY AND PEDIATRIC CARE PLLC
Pediatrics
7429 LAS COLINAS BLVD STE 101
IRVING, TX 75063
Dallas County (469) 442-0202
DR. BISHWAS UPADHYAY MD
Internal Medicine
7429 LAS COLINAS BLVD STE 101
IRVING, TX 75063
Dallas County (469) 442-0202
CHARULATA SESHADRI FNP
Nurse Practitioner (Primary Care)
7429 LAS COLINAS BLVD STE 101
IRVING, TX 75063
Dallas County (469) 442-0202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Priyanka Agarwal's NPI number?

The NPI number for Priyanka Agarwal is 1326466145. It was assigned to this individual provider in the NPPES registry on March 29, 2014.

Where is Priyanka Agarwal located?

Priyanka Agarwal practices at 7429 Las Colinas Blvd Ste 101, Irving, TX 75063. The listed phone number is (469) 442-0202.

What is Priyanka Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Priyanka Agarwal enrolled in Medicare?

Yes. Priyanka Agarwal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Priyanka Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Agarwal reassigns Medicare benefits to 7 organizations: Priyanka Agarwal MD PLLC (Irving, TX), Hemphill County Hospital District (Canadian, TX), County Of Logan (Oakley, KS), Great Plains Of Smith Co., Inc. (Smith Center, KS), St. Vincent Hospital (Santa Fe, NM) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priyanka Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyanka Agarwal accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Priyanka Agarwal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Priyanka Agarwal affiliated with any hospitals?

According to CMS data, Priyanka Agarwal is affiliated with Christus St Vincent Regional Medical Center and Baylor Scott & White Medical Center At Irving.

When was this NPI record last updated?

The NPPES record for Priyanka Agarwal was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.